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COLUMBIA    UNIVERSITY 

EDWARD    G.    JANEWAY 

MEMORIAL    LIBRARY 


THE 

STARVATION    TREATMENT 

OF   DIABETES 


With  a  Series  of  Graduated   Diets 
as  u8ed  at  the 

MASSACHUSETTS     GENERAL    HOSPITAL 


BY 

LEWIS    WEBB    HILL,    M.D. 

AND 

REN  A  S.  ECKMAN  (dietitian) 


With  an  Introduction 
by 

RICHARD   C.  CABOT,  M.D. 


Boston,  Mass. 

W.    M.    LEONARD 

1915 


( 


'  \1     ,2309 


COPTEIGHTED,   1915, 
BY 

W.  M.  Leonard 


b  b 


CONTENTS. 


Introduction,  by  Richard  C.  Cabot 5 

Preface 7 

Details  op  Treatment  .........  9 

Examination  op  the  Urine  .     .     .     ...  .     .     .  15 

Diets ,    .  19 

Diet  Lists 21 


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Digitized  by  the  Internet  Archive 

in  2010  with  funding  from 

Open  Knowledge  Commons 


http://www.archive.org/details/starvationtreatmOOhill 


INTRODUCTION. 


A  LTHOUGH    Dr.    Allen's    modifications  of  the 

/jk  classical  treatment  of  saccharine  diabetes 
■*■  ■*-  have  been  in  use  only  for  about  two  years  in 
the  hands  *of  their  author,  and  for  a  much  shorter 
time  in  those  of  other  physicians,  it  seems  to  me  al- 
ready clearly  proven  that  Dr.  Allen  has  notably  ad- 
vanced our  ability  to  combat  the  disease. 

One  of  the  difficulties  which  is  likely  to  prevent  the 
wide  adoption  of  his  treatment  is  the  detailed  knowl- 
edge of  food  composition  and  calory  value  which  it 
requires.  Dr.  Hill's  little  book  should  afford  sub- 
stantial aid  to  all  who  have  not  had  opportunity  of 
working  out  in  detail  the  progressive  series  of  diets 
which  should  be  used  after  the  starvation  period. 
These  diets,  worked  out  by  Miss  Eckman,  head 
of  the  diet  kitchen  at  the  Massachusetts  General 
Hospital,  have  seemed  to  me  to  work  admirably 
with  the  patients  who  have  taken  them,  both  in  hos- 
pital and  private  practice.  The  use  of  thrice  boiled 
vegetables,  as  recommended  by  Dr.  Allen,  seems  to 
be  a  substantial  step  in  advance,  giving  as  it  does  a 
considerable  bulk  of  food  without  any  considerable 
carbohydrate  portion,  and  with  the  semblance  of 
some  of  the  forbidden  vegetables. 

It  is  of  course  too  early  to  say  how  far  reaching 
and  how  permanent  the  effects  of  such  a  diet  will  be 
in  the  severe  and  in  the  milder  cases  of  diabetes.  All 
we  can  say  is  that  thus  far  it  appears  to  work  admir- 
ably well.  To  all  who  wish  to  give  their  patients  the 
benefit  of  this  treatment  I  can  heartily  recommend 
this  book.  Richard  C.  Cabot. 


PREFACE. 


THE  purpose  of  this  little  book  is  to  furnish  to 
the  general  practitioner  in  compact  form  the 
details  of  the  latest  and  most  successful  treat- 
ment of  diabetes  mellitus. 

The  "starvation  treatment"  of  diabetes,  as  ad- 
vanced by  Dr.  Frederick  M.  Allen  of  the  Rockefeller 
Institute  Hospital,  is  undoubtedly  a  most  valuable 
treatment.  At  the  Massachusetts  General  Hospital 
it  has  been  used  for  several  months  with  great  suc- 
cess, and  it  is  thought  worth  while  to  publish  some  of 
the  diets,  and  details  of  treatment  that  have  been 
used  there,  as  a  very  careful  control  of  the  proteid 
and  carbohydrate  intake  is  of  the  utmost  importance 
if  the  treatment  is  to  be  successful.  In  carrying  out 
the  Allen  treatment  the  physician  must  think  in 
grams  of  carbohydrate  and  proteid — it  is  not  enough 
simply  to  cut  down  the  supply  of  starchy  foods;  he 
must  know  approximately  how  much  carbohydrate 
and  proteid  his  patient  is  getting  each  day.  It  is  not 
easy  for  a  busy  practitioner  to  figure  out  these  dietary 
values,  and  for  this  reason  the  calculated  series  of 
diets  given  here  may  be  of  service.  The  various  tests 
for  sugar,  acetone,  etc.,  can,  of  course,  be  found  in 
any  good  text-book  of  chemistry,  but  it  is  thought 
worth  while  to  include  them  here  for  the  sake  of  com- 
pleteness and  ready  reference.  The  food  table  covers 
most  of  the  ordinary  foods. 

We  wish  to  thank  Dr.  Roger  I.  Lee  and  Dr.  Wil- 
liam H.  Smith,  visiting  physicians,  for  many  helpful 
suggestions. 


DETAILS  OF  TREATMENT. 


The  details  of  the  treatment  of  diabetes  as  carried 
out  at  the  Massachusetts  General  Hospital,  are  as 
follows : — 

For  forty-eight  hours  after  admission  to  the  hos- 
pital the  patient  is  kept  on  ordinary  diet,  to  deter- 
mine the  severity  of  his  diabetes.  Then  he  is  put  to 
bed,  and  no  food  allowed  save  whiskey  and  black 
coffee.  The  water  intake  need  not  be  restricted.  The 
whiskey  is  given  in  the  coffee:  1  ounce  of  whiskey 
every  two  hours,  from  7  a.m.  until  7  p.m.  This  fur- 
nishes roughly  about  800  calories.  Soda  bicarbonate 
may  be  given,  two  drachms  every  3  hours,  if  there  is 
much  evidence  of  acidosis,  as  indicated  by  strong  ace- 
tone and  diacetic  reactions  in  the  urine,  or  a  strong 
acetone  odor  to  the  breath.  In  most  oases,  however, 
this  is  not  at  all  necessary,  and  there  is  no  danger  of 
producing  coma  by  the  starvation.  This  is  indeed 
the  most  important  point  that  Dr.  Allen  has  brought 
out  in  his  treatment.  The  patient  is  kept  in  bed  and 
starved  until  he  is  sugar-free.  (The  daily  weight  and 
daily  urine  examinations  are,  of  course,  recorded.) 
The  disappearance  of  the  sugar  is  rapid :  if  there  has 
been  5  or  6  per  cent,  after  the  first  starvation  day  it 
goes  down  to  perhaps  2  per  cent.,  and  the  next  day 
the  patient  may  be  entirely  sugar-free,  or  perhaps 
have  2  or  3  per  cent,  of  sugar.  Occasionally  it  may 
take  longer ;  the  longest  we  have  starved  any  patient 
is    four    days.     The    patients    tolerate    starvation 


10  STARVATION   TKEATMENT 


remarkably  well;  in  no  cases  have  we  seen  any  bad 
results  from  it.  There  may  be  a  slight  loss  of  weight, 
perhaps  three  or  four  pounds,  but  this  is  of  no  mo- 
ment, and  indeed,  Allen  says  that  a  moderate  loss  of 
weight  in  most  diabetics  is  to  be  desired.  A  moder- 
ately obese  patient,  weighing  say  about  180  pounds, 
may  continue  to  excrete  a  small  amount  of  sugar  for 
a  considerable  period,  if  he  holds  this  weight,  even  if 
he  is  taking  very  little  carbohydrate;  whereas,  if  his 
weight  can  be  reduced  to  170  or  160,  he  can  be  kept 
sugar-free,  with  ease,  on  the  same  diet.  We  have  not 
found  that  the  acetone  and  diacetic  acid  output  be- 
haves in  any  constant  manner  during  starvation;  in 
some  cases  we  have  seen  the  acetone  bodies  disappear 
during  starvation;  in  others  we  have  seen  them  ap- 
pear when  they  were  not  present  before.  Their  ap- 
pearance is  not  necessarily  a  cause  for  alarm.  The 
estimation  of  the  ammonia  in  the  urine  is  of  some 
value  in  determining  the  amount  of  acidosis  present, 
and  this  can  be  done  readily  by  the  simple  chemical 
method  given  below.  If  the  24  hourly  ammonia  out- 
put reaches  over  3  or  4  grams,  it  means  that  there  is 
a  good  deal  of  acidosis — anything  below  this  is  not 
remarkable. 

When  the  patient  is  sugar-free  he  is  allowed  up 
and  is  put  upon  a  diet  of  so-called  "5%  vegetables,'' 
i.e.  vegetables  containing  approximately  5%  carbo- 
hydrate. 

These  vegetables  must  be  thrice  boiled,  with 
changes  of  water.  In  this  way  their  carbohydrate 
content  is  reduced,  probably  about  one-half.  A  mod- 
erate amount  of  fat,  in  the  form  of  butter,  can  be 


OF  DIABETES  11 

given  with  this  vegetable  diet  if  desired.  The  amount 
of  carbohydrate  in  these  green  vegetables  is  not  at 
all  inconsiderable,  and  if  the  patient  eats  as  much  as 
he  desires,  it  is  possible  for  him  to  have  an  intake  of 
25  or  30  grams,  which  is  altogether  too  much;  the 
first  day  after  starvation  the  carbohydrate  intake 
should  not  be  over  15  grams.  Tables  No.  1  and  2  rep- 
resent these  vegetable  diets.  The  patient  is  usually 
kept  on  diet  1  or  2  for  one  day,  or  if  the  case  is  a 
particularly  severe  one,  for  two  days.  The  day  after 
the  vegetable  day,  the  proteid  and  fat  are  raised,  the 
carbohydrate  being  left  at  the  same  figure  (diets  2,  3 
and  4).  No  absolute  rule  can  be  laid  down  for  the 
length  of  time  for  a  patient  to  remain  on  one  diet, 
but  in  general  we  do  not  give  the  very  low  diets  such 
as  2,  3  and  4,  for  more  than  a  day  or  two  at  a  time. 
The  diet  should  be  raised  very  gradually,  and  it  is 
well  not  to  raise  the  proteid  and  carbohydrate  at  the 
same  time,  for  it  is  important  to  know  which  of  the 
two  is  causing  the  more  trouble.  The  proteid  intake 
may  perhaps  be  raised  more  rapidly  than  the  carbo- 
hydrate, but  an  excess  of  proteid  is  very  important  in 
causing  glycosuria,  and  for  this  reason  the  proteid 
intake  must  be  watched  as  carefully  as  the  carbo- 
hydrate. This  is  one  of  the  important  points  brought 
out  in  Allen's  treatment.  The  fat  may  soon  be  raised 
to  200  grams ;  higher  than  this  we  do  not  generally  go. 
If  sugar  appears  in  the  urine  during  the  process  of 
raising  the  diet  we  drop  back  to  a  lower  diet,  and  if 
this  is  unavailing,  start  another  starvation  day,  and 
raise  the  diet  more  slowly.  But  it  will  be  found  if 
the  diet  is  raised  very  slowly,  sugar  will  not  appear. 


12         STAKVATION   TEEATIENT 

It  is  not  well  to  push  the  average  case ;  if  the  patient 
is  taking  a  fair  diet,  say  proteid  50,  carbohydrate  50, 
and  fat  200,  and  is  doing  well,  without  any  glyco- 
suria, it  is  not  desirable  to  raise  the  diet  any  further. 
The  caloric  intake  may  seem  rather  low  in  some  of 
these  diets,  but  it  is  surprising  how  well  most  patients 
do  on  1800  or  2000  calories,  and  how  little  weight 
they  lose.  If  it  is  desired  to  raise  the  caloric  value 
of  the  diet,  fat  can  be  added  in  the  form  of  cream, 
bacon  or  butter. 

It  will  be  seen  that  the  treatment  can  be  divided 
into  three  stages: — 

(1)  The  stage  of  starvation,  when  the  patient  is 
becoming  sugar-free. 

(2)  The  stage  of  gradually  working  up  the  diet  to 
the  limit  of  tolerance. 

During  the  first  two  stages  a  daily  weight  record 
should  be  kept,  and  the  urine  should  be  examined 
every  day.  In  the  case  of  an  intelligent  patient,  he 
can  be  easily  taught  to  test  his  own  urine  for  sugar. 

(3)  The  stationary  stage,  when  the  diet  is  kept  at 
a  constant  level.  During  this  period  the  urine  should 
be  tested  for  sugar  twice  a  week,  and  if  sugar  is  pres- 
ent the  patient  should  go  back  to  a  lower  diet.  If  he 
cannot  be  made  sugar-free  by  taking  a  lower  diet,  he 
should  be  starved  again. 

If  this  treatment  is  to  be  successful,  it  is  absolutely 
necessary  for  the  patient  to  adhere  very  strictly  to 
the  diets,  and  to  measure  out  everything  very  care- 
fully ;  the  meat  especially  should  be  weighed. 

It  will  be  noticed  in  some  cases  the  calories  in  the 


OF  DIABETES  13 

diets  do  not  tally  exactly  with  the  proteid,  fat  and 
carbohydrate  values.  The  reason  for  this  is  that  for 
the  sake  of  convenience  the  calories  have  been  given 
in  round  numbers — 5  or  10  calories  one  way  or  the 
other  makes  no  difference. 

The  essential  points  brought  out  by  Allen's  treat- 
ment are  as  follows: — 

(1)  It  is  not  dangerous  to  starve  a  diabetic,  and 
two  or  three  days  of  starvation  almost  always  make  a 
patient  sugar-free,  thus  saving  a  good  deal  of  time,  as 
contrasted  with  the  old  treatment  of  gradually  cut- 
ting down  the  carbohydrate. 

(2)  It  is  not  desirable  for  all  diabetics  to  hold  their 
weight.  Some  cases  may  do  much  better  if  their 
weight  is  reduced  ten,  fifteen,  or  even  twenty  pounds. 

(3)  After  starvation,  the  diet  must  be  raised  very 
slowly,  to  prevent  recurrence  of  glycosuria. 

(4)  An  excess  of  proteid  must  be  regarded  as  pro- 
ducing glycosuria,  and  the  proteid  intake  must  be 
restricted  a  good  deal  more  than  has  been  the  custom 
in  treating  diabetes. 


EXAMINATION  OF  THE  URINE. 


Directions  for  Collecting  Twenty-four  Hour  Urine. 

Pass  the  urine  at  7  a.m.  and  throw  it  away. 

Save  all  the  urine  passed  after  this  up  to  7  a.m.  the 
next  day.  Pass  the  urine  exactly  at  7  a.m.,  and  add 
it  to  what  has  previously  been  passed. 

Qualitative  Sugar  Tests. 

(1)  Fehling's  Test : — Boil  about  4  c.c.  of  Fehling's* 
solution  in  a  test  tube,  and  add  to  the  hot  Fehling's 
an  equal  amount  of  urine,  a  few  drops  at  a  time,  boil- 
ing after  each  addition. 

A  yellow  or  red  precipitate  indicates  sugar. 

For  practical  purposes  in  the  following  of  a 
diabetic's  daily  urine,  this  is  a  valuable  test,  and  the 
one  which  we  always  use. 

(2)  Benedict's  Test:— To  5  c.c.  of  Benedict 'sf  re- 
agent add  8  drops  of  the  urine  to  be  examined.  The 
fluid  is  boiled  from  1  to  2  minutes  and  then  allowed 
to  cool  of  itself.    If  dextrose  is  present  there  results 

*  Fehling's  solution  is  prepared  as  follows : 

(a)  Copper  sulphate  solution:  34.65  gm.  of  copper  sulphate  dissolved  in 
water  and  made  up  to  500  c.c. 

(b)  Alkaline  tartrate  solution:  125  gm.  of  potassium  hydroxide  and 
173  gm.  of  Rochelle  salt  dissolved  in  water  and  made  up  to  500  c.c. 

These  solutions  are  kept  in  separate  bottles  and  mixed  in  equal  volumes 
when  ready  for  use. 

f  Benedict's  solution  has  the  following  composition: 
Copper  sulphate,  17.3  gm. 
Sodium  citrate,  173.0  gm. 
Sodium  carbonate  (anhydrous),  100  gm. 
Distilled  water  to  1000  c.c. 


16  STARVATION   TREATMENT 

a  red,  yellow,  or  green  precipitate,  depending  upon 
the  amount  of  sugar  present.  If  no  sugar  is  present 
the  solution  may  remain  perfectly  clear  or  he  slightly 
turhid,  due  to  precipitated  urates. 

This  is  a  more  delicate  test  than  Fehling's. 

Quantitative  Sugar  Tests. 

(1)  The  Fermentation  Test: — The  fermentation 
test  is  the  simplest  quantitative  test  for  sugar,  and  is 
quite  accurate  enough  for  clinical  work.  It  is  per- 
formed as  follows:  The  specific  gravity  of  the  24° 
urine  is  taken,  and  100  c.c.  of  it  put  into  a  flask,  and 
a  quarter  of  a  yeast  cake  crumbled  up  and  added  to 
it.  The  flask  is  then  put  in  a  warm  place  (at  about 
body  temperature)  and  allowed  to  remain  over  night. 
The  next  morning  a  sample  of  the  fermented  urine  is 
tested  for  sugar.  If  no  sugar  is  present  the  urine  is 
made  up  to  100  c.c.  (to  allow  for  the  water  that  has 
evaporated)  and  the  specific  gravity  taken  again. 
The  number  of  points  loss  in  specific  gravity  is  multi- 
plied by  .23,  and  this  gives  the  percentage  of  sugar  in 
the  urine. 

(2)  Benedict's  Test: — The  best  quantitative  test 
for  dextrose  (excepting  polaroscopic  examination, 
which  is  too  complicated  for  ordinary  work)  is  Bene- 
dict's test. 

It  is  performed  as  follows :  Measure  with  a  pipette 
25  c.c.  of  Benedict's  solution  into  a  porcelain  dish, 
add  5  or  10  gm.  (approximately)  of  solid  sodic  car- 
bonate, heat  to  boiling,  and  while  boiling,  run  in  the 
urine  until  a  white  precipitate  forms. 


OF  DIABETES  17 

Then  add  the  urine  more  slowly  until  the  last  trace 
of  blue  disappears.  The  urine  should  be  diluted  so 
that  not  less  than  10  c.c.  will  be  required  to  give  the 
amount  of  sugar  which  the  25  c.c.  of  reagent  is  cap- 
able of   oxidizing. 

Calculation :  5,  divided  by  the  number  of  c.c.  of 
urine  run  in,  equals  the  per  cent,  of  sugar. 

Benedict's  quantitative  solution  is  prepared  as 
follows:  Dissolve  9.0  gm.  of  copper  sulphate  in  100 
c.c.  distilled  water.  (The  copper  sulphate  must  be 
weighed  very  accurately.)  Dissolve  50  gm.  anhy- 
drous sodic  carbonate,  100  gm.  sodic  citrate,  and  65 
gm.  of  potassium  sulpho  cyanate  in  250  c.c.  of  dis- 
tilled water. 

Pour  the  copper  solution  slowly  into  the  alkaline 
citrate  solution.  Then  pour  the  mixed  solution  into 
the  flask  without  loss,  and  make  up  to  500  c.c. ;  25  c.c. 
of  this  solution  is  reduced  by  50  mgm.  of  dextrose,  52 
mgm.  of  levulose  or  67  mgm.  of  lactose. 

(3)  Acetone  Test: — To  5  c.c.  of  urine  in  a  test 
tube  add  a  crystal  of  sodium  nitro  prusside.  Acidify 
with  glacial  acetic  acid,  shake  a  moment,  and  then 
make  alkaline  with  ammonium  hydrate.  A  purple 
color  indicates  acetone. 

(4)  Diacetic  Acid  Test: — To  5  c.c.  of  urine  in  a 
test  tube  add  an  excess  of  a  10%>  solution  of  Ferric 
chloride.  A  Burgundy  red  color  indicates  diacetic 
acid. 

Quantitative  Test  for  Ammonia. 

To  25  c.c.  of  urine  add  5  c.c.  of  a  saturated  solu- 


18  STARVATION   TEEATMENT 

tion  of  potassium  oxalate  and  2  to  3  drops  of  phe- 
nolphthalein. 

Bun  in  from  a  burette  deeinormal  sodic  hydrate,  to  a 
faint  pink  color.  Then  add  5  c.e.  of  formalin  (40% 
commercial)  and  again  titrate  to  the  same  color. 

Each  c.c.  of  the  deeinormal  alkali  used  in  this  last 
titration  equals  1  c.c.  of  n/10  ammonia,  or  .0017  gm. 
of  ammonia.  Multiply  this  by  the  number  of  c.c.  n/10 
sodic  hydrate  used  in  the  last  titration;  this  gives 
the  number  of  grams  of  ammonia  in  25  c.c.  urine. 

Note: — The  potassium  oxalate  and  the  formalin 
must  both  be  neutral  to  phenolphthalein. 


DIETS. 

In  the  following  diets  the  vegetables  listed,  except- 
ing lettuce,  cucumbers,  celery,  and  raw  tomatoes,  are 
boiled.  In  the  very  low  carbohydrate  lists  they  are 
thrice  boiled.  When  possible  to  obtain  the  figures, 
the  analyses  for  boiled  vegetables  have  been  used  in 
computation. 

As  the  allowance  becomes  more  liberal  the  person 
preparing  the  diet  will  be  able  to  vary  the  menu  in 
many  ways.  Soups,  ice  cream,  custards,  salads, — all 
may  be  prepared  from  the  articles  mentioned.  Sea- 
sonings of  salt,  pepper,  paprika,  also  flavorings  and 
vinegar  are  allowed. 

When  the  patient  is  compelled  to  remain  on  a 
very  limited  diet  for  a  considerable  length  of  time 
and  becomes  very  hungry,  the  lists  representing  most 
bulk  should  be  selected.  In  addition  to  this,  bran 
cakes  may  be  given,  made  by  the  rule  as  stated  below. 
As  each  cake  yields  no  carbohydrate  and  only  about 
18  calories  from  the  protein  and  fat,  the  patient  may 
take  6  or  8  in  one  day  or  even  more. 

BRAN  CAKES. 

2  cups  bran 

2  tablespoons  melted  butter 

2  whole  eggs 

1  egg  white 

y2  grain  saccharine — salt 


20  STARVATION   TREATMENT 

Tie  bran  in  a  piece  of  cheese  cloth  and  wash  by 
squeezing  water  through  and  through.  Wring  dry. 
Dissolve  saccharine  in  1  teaspoon  water.  Mix  bran, 
beaten  eggs,  saccharine  and  salt.  Beat  remaining  egg 
white  stiff  and  fold  in  at  the  last.  Shape  with  knife 
and  tablespoon  into  twenty-five  small  cakes.  Bake 
until  golden  brown. 


DIET    LISTS. 


Abbreviations  used  in  diet  lists :     tbsp.  =  tablespoon, 
h.  =  heaping. 


TABLE    I. 

Protein,  10  grams     Fat  7  grams 
Carbohydrate,  15  grams     Calories,  200. 

Breakfast. 

String  beans  (canned)..  120  grams. . .  4  h.  tbsp. 
Asparagus  (canned) . .  .150  grams. . .  4  h.  tbsp. 
Tea  or  coffee. 

Dinner. 

Carrots  (cooked) 70  grams. . .   2  h.  tbsp. 

Spinach  (cooked) 135  grams. . .   3  h.  tbsp. 

Tea  or  coffee. 

Supper. 

Cucumbers 75  grams. .  .12  slices. 

Celery 100  grams ...   6  pieces. 

about  6  in.  long. 
Tea  or  coffee. 


22         STARVATION   TREATMENT 


TABLE   II. 

Protein,  7  grams     Fat,  6  grams 
Carbohydrate,  15  grams     Calories,  150 

Breakfast. 

Asparagus  (canned)..  . .  75  grams.  . .   2  h.  tbsp. 

(chopped). 

Cabbage 65  grams ...  2  h.  tbsp. 

Tea  or  coffee. 

Dinner. 

Onions  (cooked.) 100  grams. . .   2  h.  tbsp. 

Celery  (raw) 50  grams. . .   3  pieces 

about  6  in.  long. 
Tea  or  coffee. 

Supper. 

Spinach 100  grams. . .   2  h.  tbsp. 

Celery 50  grams ...   3  pieces  6  in. 

long. 
Tea  or  coffee. 


OF  DIABETES 


23 


TABLE  III. 

Protein,  27  grams    Fat,  140  grams 
Carbohydrate,  15  grams     Calories,  1470 


Breakfast. 

Bacon  (raw). 
String  beans.. 
Coffee. 
Butter. 
Cream. 


,   50  grams, 
.100  grams 


3  slices  6  in.  long. 
3  h.  tbsp. 


Dinner. 

Chicken 20  grams. 

Turnips 100  grams. 

Cabbage 100  grams . 

Butter. 
Cream. 
Tea. 

Supper. 

Egg 1 

Turnips 100  grams. 

Spinach 100  grams. 

Butter. 
Cream. 
Tea. 

Allow  during  day: 

Butter 30  grams . 

Cream,  40% 7  ounces. 


1  small  slice. 
iy2  h.  tbsp. 
,3  h.  tbsp. 


li/2  h.  tbsp. 
2  h.  tbsp. 


3  squares. 
14  tbsp. 


24 


STARVATION   TREATMENT 


TABLE  IV. 

Protein,  26  grams     Fat,  149  grams 
Carbohydrate,  17  grams     Calories,  1560 

Breakfast. 

Egg 1 

Asparagus 100  grams ...   2  h.  tbsp. 

Carrots 100  grams. . .   3  h.  tbsp. 

Cream. 
Butter. 
Coffee. 


Dinner. 

Chicken 25  grams. 

Bacon  (raw) 25  grams. 

Cauliflower 100  grams. 

Turnips 140  grams. 

Cream. 
Butter. 
Tea. 


1  very  small  slice. 

2  slices. 

2  h.  tbsp. 
2  h.  tbsp. 


Supper. 

Salt  pork  (raw)...   50  grams 


Cabbage 

String  beans... 
Butter. 
Cream. 
Tea. 


100  grams 
100  grams, 


3  slices  about  6  in. 

long. 
3  h.  tbsp. 
3  h.  tbsp. 


Allow  during  day: 

Butter 35  grams . 

Cream,  40% 5  ounces. 


3%  squares. 
10  tbsp. 


OF  DIABETES  25 


TABLE  V. 

Protein,  26  grams    Fat,  151  grams 
Carbohydrate,  17  grams     Calories,  1580 

Breakfast. 

Bacon  (raw) 50  grams. . .   3  slices  about  6  in. 

long. 

Parsnips 100  grams. . .   4  slices. 

Coffee. 

Butter. 

Cream. 

Dinner. 

Chicken 35  grams.  . .   1  small  slice. 

String  beans 100  grams ...   3  h.  tbsp. 

Cabbage 100  grams.  . .   3  h.  tbsp. 

Butter. 
Cream. 
Tea. 

Supper. 

Parsnips 100  grams. . .   4  slices. 

Cauliflower 120  grams...   2  h.  tbsp. 

Spinach 100  grams. . .   3  h.  tbsp. 

Butter. 
Cream. 
Tea. 

Allow  during  day: 

Butter 50  grams. . .   5  squares. 

Cream,  40% 7  ounces. .  .14  tbsp. 


26 


STAKVATION   TEEATMENT 


TABLE  VI. 

Protein,  35  grams    Fat,  175  grams 
Carbohydrate,  15  grams     Calories,  1840 

Breakfast. 

Bacon  (raw) 50  grams. . .   3  slices  about  6  in. 

long. 

Parsnips 200  gr^ms ...   8  slices  or  2  h. 

tbsp. 
Butter. 
Cream. 
Coffee. 

Dinner. 

Chicken 70  grams. . .   1  moderate  slice. 

Cauliflower 120  grams.  . .   2  h.  tbsp. 

Cabbage 100  grams ...   3  h.  tbsp. 

Butter. 
Cream. 
Tea. 

Supper. 

String  beans 100  grams.  . .   3  h.  tbsp. 

Spinach 100  grams.  . .   2  h.  tbsp. 

Butter. 
Cream. 
Tea. 

Allow  during  day: 

Butter 75  grams . . .   7%  squares. 

Cream,  40% 7  ounces. .  .14  tbsp. 


OF  DIABETES 


27 


TABLE  VII. 

Protein,  35  grams    Fat,  175  grams 
Carbohydrate,  15  grams     Calories,  1860 


Breakfast. 

Bacon 100  grams . . 

Asparagus 100  grams . . 

Cream. 
Butter. 
Coffee. 

Dinner. 

Steak 100  grams. . 

Carrots 100  grams . . 

Cream. 
Butter. 
Tea. 

Supper. 

Lettuce 20  grams . . 

Cucumbers 100  grams, 

Celery 50  grams . 

Cream. 
Butter. 
Tea. 


6  slices  6  in.  long. 
2  h.  tbsp. 


1  slice,  4  oz. 
3  h.  tbsp. 


.   3  medium  leaves. 

.16  thin  slices. 

.  4  stalks  6  in.  lom 


Allow  during  day: 

Butter 65  grams . . .   6%  squares. 

Cream,  40% 5  ounces. .  .10  tbsp. 


28  STARVATION   TREATMENT 


TABLE  VIII. 

Protein,  35  grams    Fat,  147  grams 
Carbohydrate,  17  grams     Calories,  1560 

Breakfast. 

Bacon  (raw) 50  grams. . .   3  slices  about  6  in. 

long. 

Asparagus 100  grams. . .   2  h.  tbsp.  or  0 

stalks  4  in.  long  (canned). 

Parsnips 100  grams ...   4  slices. 

Butter. 
Cream. 

Dinner. 

Steak  (raw) 100  grams. . .   1  slice. 

Turnips  (cooked) .140  grams...   2  h.  tbsp. 

Parsnips 100  grams ...   4  slices. 

Cabbage 100  grams ...   3  h.  tbsp. 

Butter. 

Tea. 

Cream. 

Supper. 

Spinach  (cooked). 100  grams...   2  h.  tbsp. 

String  beans  "      100  grams...   3  h.  tbsp. 

Cauliflower      "      120  grams...   2  h.  tbsp. 

Butter. 

Tea. 

Cream. 

Allow  during  day: 

Butter 50  grams ...   5  squares. 

Cream,  40% 5  ounces. .  .  10  tbsp. 


OF  DIABETES 


29 


TABLE  IX. 

Protein,  40  grams    Fat,  152  grams 
Carbohydrate,  16  grams     Calories,  1640 

Breakfast. 

Egg 1 

Asparagus 100  grams ...   2  h.  tbsp.  or  9 

stalks  4  in.  long  (canned). 

Parsnips 100  grams. . .   4  slices. 

Butter. 

Coffee. 

Cream. 

Dinner. 

Steak 100  grams ...  1  slice. 

Turnips 140  grams. . .   2  h.  tbsp. 

Parsnips 100  grams ...   4  slices. 

Cabbage 100  grams. . .   3  h.  tbsp. 

Butter. 
Cream. 
Tea. 

Supper. 

Bacon  (raw) 50  grams. . .   3  slices  about  6  in. 

long. 
Spinach  (cooked).  100  grams. . .   2  h.  tbsp. 
String  beans 

(canned)   100  grams. . .  3  h.  tbsp. 

Cauliflower 100  grams. . .   2  h.  tbsp. 

Butter. 
Cream. 
Tea. 

Allow  during  day: 

Butter 50  grams ...   5  squares. 

Cream,  40% 5  ounces...  10  tbsp. 


30 


STAKVATION   TEEATMENT 


TABLE.  X. 

Protein,  50  grams    Fat,  164  grams 
Carbohydrate,  15  grams     Calories,  1790 

Breakfast. 

Bacon 50  grams.  .  .   3  slices  6  in.  long. 

Egg 1 

String  beans 

(canned)   100  grams. . .   3  h.  tbsp. 
Butter. 
Cream. 
Coffee. 

Dinner. 

Chop 100  grams ...   1  chop. 

Cabbage  (cooked). 100  grams.  . .   3  h.  tbsp. 

Cucumbers 100  grams.  .  .16  slices,  thin. 

Tea. 

Butter. 

Cream. 

Supper. 

Egg 1 

Asparagus 

(canned)  100  grams. . .   2  h.  tbsp. 
Cauliflower 

(cooked) ..  100  grams.  . .   2  h.  tbsp. 
Butter. 
Cream. 
Tea.  ! 

Allow  during  day: 

Butter 50  grams ...   5  squares. 

Cream,  40% 5  ounces..  .10  tbsp. 


OF  DIABETES  31 


TABLE  XL 

Protein,  60  grams     Fat,  151  grams 
Carbohydrate,  15  grams     Calories,  1780 

Breakfast. 

Bacon  (raw) 50  grams. . .   3  slices  6  in.  long. 

Eggs 2 

Spinach  (cooked)  .100  grams. . .   2  h.  tbsp. 

Butter. 

Cream. 

Coffee. 

Dinner. 

Steak 100  grams ...   1  slice. 

Tomatoes 

(canned)   100  grams...   2y2  h.  tbsp. 
Butter. 
Cream. 
Tea. 

Supper. 

Chicken  (cooked).  50  grams...  1  small  slice. 

Lettuce 20  grams. . .   3  leaves. 

Celery 100  grams. . .   8  stalks  6  in.  long. 

Butter. 
Cream. 
Tea. 

Allow  during  day: 

Butter 50  grams ...  5  squares. 

Cream,  40% 5  ounces..  .10  tbsp. 


32 


STARVATION   TREATMENT 


TABLE  XII. 

Protein,  38  grams     Fat,  187  grams 
Carbohydrate,  20  grams     Calories  2070 

Breakfast. 

Bacon 30  grams ...   2  slices  6  in.  long. 

Egg 1 

Spinach 100  grams. . .   2  h.  tbsp. 

Coffee. 

Butter. 

Cream. 


Dinner. 

Steak 50  grams . . 

Salt  pork 65  grams . . 

Cabbage 100  grams. . 

Onions 100  grams. . 

Butter. 
Cream. 
Tea. 


1  very  small  slice. 
4  slices. 
3  h.  tbsp. 
3  h.  tbsp. 


Supper. 

Beef  balls 40  grams.  . .  =1 1/3  oz. 

Celery  salad 100  grams ...  8  slices  6  in.  long. 

Olive  oil 26  grams. . .  2  tbsp. 

Tomatoes 100  grams. . .  2y2  tbsp. 

Allow  during  day: 

Butter 50  grams ...  5  squares. 

Cream,  40% 5  ounces. ..10  tbsp. 


OF  DIABETES 


33 


TABLE  XIII. 

Proteid,  35  grams    Fat,  100  grams 
Carbohydrate,  16  grams     Calories  1135 

Breakfast. 

Egg 1 

Cabbage 100  grams ...   3  h.  tbsp. 

Tomatoes 100  grams. . .   2y2  h.  tbsp. 

Butter. 

Coffee. 

Cream. 


Dinner. 

Steak 80  grams . 

Spinach 100  grams . 

Turnips ;140  grams. 

Egg,  white 1 

Butter. 
Cream. 
Tea. 


1  slice. 

2  h.  tbsp. 
2  h.  tbsp. 


Supper. 

Cauliflower 120  grams.  . .   2  h.  tbsp. 

Onions ,  .100  grams.  . .   2  h.  tbsp. 

Lettuce 10  grams ...   2  leaves. 

Olive  oil 13  grams. . .   1  tbsp. 

Tea. 

Butter. 

Cream. 


Allow  during  day: 

Butter 25  grams . . .   2%  squares. 

Cream,  40% 3  ounces. . .   6  tbsp. 


34 


STAKVATION   TEEATMENT 


TABLE  XIV. 

Protein,  40  grams     Fat,  200  grams 
Carbohydrate,  21  grams    Calories  2110 


Breakfast. 

Bacon 50  grams . . 

Cauliflower .......  120  grams . . 

Butter. 
Cream. 
Coffee. 

Dinner. 

Squab 1 

Carrots 100  grams. . 

Tomatoes 100  grams . . 

Olive  oil 25  grams. . 

Butter. 
Cream. 
Tea. 

Supper. 

Turnips 140  grams . . 

Asparagus 100  grams. . 

Celery 100  grams . . 

Butter. 
Cream. 
Tea. 


3  slices  6  in.  long. 
2  h.  tbsp. 


2  h.  tbsp. 
2  h.  tbsp. 
2  tbsp.   (scant) 


2  h.  tbsp. 
2  h.  tbsp. 
8  stalks  6  in.  long. 


Allow  during  day: 

Butter 50  grams. . .   5  squares. 

Cream,  40% 7  ounces. .  .  14  tbsp. 


OF  DIABETES 


35 


TABLE  XV. 

Protein,  40  grams     Fat,  200  grams 
Carbohydrate,  20  grams     Calories  2125 

Breakfast. 

Bacon 30  grams. . .  2  slices  6  in.  long. 

Egg 1 

Spinach 200  grams.  .  .  4  h.  tbsp. 

Cream. 
Butter. 


Dinner. 

Steak 50  grams . . 

Cabbage 100  grams . . 

Tomatoes 100  grams . . 

Onions 100  grams.  . 

Butter. 
Cream. 
Tea. 

Supper. 

Salt  pork 65  grams . . 

Scraped  beef 40  grams . . , 

Celery 100  grams . . 

Olive  oil 26  grams. . 

Cream. 
Butter. 
Tea. 


1  small  slice. 
3  h.  tbsp. 

2  h.  tbsp. 
2  h.  tbsp. 


4  slices. 

1 1/3  oz. 

8  stalks  6  in.  long. 

2  tbsp. 


Allow  during  day: 

Butter 55  grams . . .   5y2  squares. 

Cream,  40% 5  ounces..  .10  tbsp. 


36 


STARVATION   TREATMENT 


TABLE  XVI. 

Protein,  39  grams     Fat,  199  grams 
Carbohydrate,  22  grams     Calories,  2100 


Breakfast. 

Egg 1 

Asparagus 100  grams. 

Butter. 
Cream. 
Coffee. 


.   2  h.  tbsp. 


Dinner. 

Chop 100  grams. . 

Peas 50  grams. . 

Celery 50  grams. . 

Olive  oil 32  grams . . 

Butter. 
Cream. 
Tea. 


1  medium. 

1  h.  tbsp. 

4  stalks  6  in.  long. 

2i/2  tbsp.     ( 


Supper. 

Cauliflower...  . 
String  beans... 
Mayonnaise.  . . 
Butter. 
Cream. 
Tea. 


.120  grams. 
.100  grams 
.   21  grams 


2  h.  tbsp. 
2  h.  tbsp. 
1  tbsp. 


Allow  during  day: 

Butter 50  grams ...   5  squares. 

Cream,  40%.....     6  ounces..  .12  tbsp. 


OF  DIABETES 


37 


TABLE  XVII. 

Protein,  39  grams     Fat,  206  grams 
Carbohydrate,  29  grams     Calories,  2195 


Breakfast. 

Bacon 

Peas  (canned) 
Butter. 
Cream. 
Coffee. 


50  grams 
75  grams. 


3  slices. 
2%  h.  tbsp. 


Dinner. 

Broth — 6  ounces  with  vegetables : 

Cabbage 25  grams. . .   2  teasp. 

Tomatoes 25  grams ...  2  teasp. 

Turnips 25  grams. . .   2  teasp. 

Celery 50  grams. 

Steak 100  grams ...  1  small  slice. 

Squash 50  grams. . .   1  h.  tbsp. 

Tomatoes 75  grams . . .   2y2  h.  tbsp. 

Butter. 
Cream. 
Tea. 


Supper. 

Turnips 175  grams. 

Celery 100  grams . 

Olive  oil 21  grams. 

Salt  pork  (raw) ...   50  grams . 

Allow  during  day: 

Butter 50  grams . 

Cream,  40% 5  ounces. 


2i/2  h.  tbsp. 

8  stalks  6  in.  long. 

iy2  tbsp. 

3  slices  about  6  in. 
long. 

5  squares. 
10  tbsp. 


38 


STARVATION   TREATMENT 


TABLE  XVIII. 

Protein,  40  grams     Fat,  178  grams 
Carbohydrate,  29  grams     Calories,  1940 

Breakfast. 

Bacon 50  grams ...   3  slices  about  6  in. 

long. 

Egg 1 

Parsnips 100  grams ...  4  slices. 

Butter. 
Cream. 
Coffee. 

Dinner. 

Chicken 50  grams. . .   1  small  slice. 

Cabbage 100  grams.  . .   3  h.  tbsp. 

Asparagus 100  grams ...   2  h.  tbsp. 

Cauliflower 120  grams. . .   2  h.  tbsp. 

Butter. 
Cream. 
Tea. 

Supper. 

Salt  pork 100  grams ...  6  slices  about  6  in. 

long. 

Parsnips 100  grams ...  4  slices. 

Turnips 140  grams.  . .  2  h.  tbsp. 

String  beans 100  grams. . .  3  h.  tbsp. 

Bread 25  grams. . .  1  slice,  3x3x%  in. 

Butter. 
Cream. 
Tea. 

Allow  during  day: 

Butter 40  grams ...   4  squares. 

Cream,  40% 6  ounces. .  .12  tbsp. 


OF  DIABETES 


39 


TABLE  XIX. 

Protein,  42  grams    Fat,  206  grams 
Carbohydrate,  36  grams     Calories  2230 

Breakfast/ 

Bacon 50  grams ...   3  slices  about  6  in. 

long. 

Peas 75  grams. . .   2  h.  tbsp. 

Tomatoes 100  grams.  ..3b.  tbsp. 

Butter. 
Cream. 
Coffee. 


Dinner. 

Broth — chicken,  lamb  or  beef . 

Steak 100  grams , 

Turnips 200  grams 

Celery 150  grams 

Olive  oil 21  grams . 

Butter. 
Cream. 
Tea. 


6  ounces. 
1  slice. 
3  h.  tbsp. 
12  stalks  6  in.  long 


Supper. 

Salt  pork  ( raw ) . .  .100  grams 

Squash 50  grams . 

Beets 100  grams . 

Cabbage 25  grams 

Butter. 
Cream. 
Tea. 


6  slices  about  6  in. 

long. 
1  h.  tbsp. 
3  h.  tbsp. 
1  h.  tbsp. 


Allow  during  day: 

Butter 50  grams ...   5  squares. 

Cream,  40% 5  ounces. .  .10  tbsp. 


40 


STARVATION   TREATMENT 


TABLE   XX. 

Protein,  43  grams     Fat,  201  grams 
Carbohydrate,  36  grams     Calories  2080 


Breakfast. 

Bacon  (raw) 50  grams, 

Parsnips 100  grams . 


Potatoes  (boiled) 
Butter. 
Cream. 
Coffee. 


50  grams 


4  slices  6  in.  long. 
4  slices  or 

2  h.  tbsp. 
1  very  small  one. 


Dinner. 

Broth 6  ounces. 

Squab 1 

Cabbage 100  grams . 

Celery 100  grams . 

Butter. 
Cream. 
Tea. 

Supper. 

Salt  pork  (raw) ...  50  grams. 

Cucumbers 100  grams . 

Parsnips 100  grams . 

Cauliflower 120  grams . 

Milk 4  ounces. 

Butter. 
Cream. 
Tea. 

Allow  during  day: 

Butter 50  grams. 

Cream,  40% 7  ounces. 


3  h.  tbsp. 
8  stalks  about  6  in. 
long. 


3 

slices  6  in 

16 

slices. 

4 

slices. 

2 

h.  tbsp. 

% 

glass. 

long. 


5  squares. 
14  tbsp. 


OF  DIABETES 


41 


TABLE  XXI. 

Protein,  50  grams     Fat,  200  grams 
Carbohydrate,  35  grams     Calories,  2195 


Breakfast. 

Orange 100  grams .  . 

Bacon 100  grams . . 

Spinach 100  grams. . 

Butter. 
Cream. 
Coffee. 

Dinner. 

Broth 180  c.c 

Steak 100  grams . . 

Parsnips 100  grams .  . 

Carrots 100  grams. . 

Butter. 
Cream. 
Tea. 


1  small. 

6  slices,  6  in.  long. 

2  h.  tbsp. 


1  glass  or  cup. 

1  slice,  medium. 

4  slices=2  h.  tbsp. 

2  h.  tbsp. 


Supper. 

Egg 1 

Lettuce 25  grams . 

Olive  oil 21  grams . 

Cream. 
Tea. 
Butter. 
Bread. 

Allow  during  day: 

Butter 50  grams. 

Cream,  40% 7  ounces. 

Bread 20  grams . 


3  leaves. 
1  tbsp. 


5  squares. 
14  tbsp. 
,   1  very  thin  slice. 


42  STAKVATION   TKEATMENT 


TABLE  XXII. 

Protein,  51  grains    Fat,  201  grams 
Carbohydrate,  41  grams     Calories,  2240 

Breakfast. 

Bacon 50  grams. . .  3  slices  6  in.  long. 

Bread 20  grams ...   1  slice,  3x3x%  in. 

Spinach 100  grams. . .   2  h.  tbsp. 

Butter. 
Cream. 
Coffee. 

Dinner. 

Broth 180  c.c 1  glass  or  cup. 

Steak 100  grams. . .  1  slice. 

Cabbage 100  grams. . .   3  h.  tbsp. 

Olive  oil 20  grams. . .   V/2  tbsp. 

Lettuce 100  grams. . .  12  leaves. 

Butter. 
Cream. 
Tea. 

Supper. 

Egg 1 

Onions 100  grams.  . .   2  h.  tbsp. 

Bread,  3x3xx/4 ....   15  grams ...   1  slice  very  thin. 

Milk 4  ounces. .  .   8  tbsp. 

Butter. 
Cream. 
Tea. 

Allow  during  day: 

Butter 50  grams ...   5  squares. 

Cream,  40% 7  ounces..  .14  tbsp. 


OF  DIABETES 


43 


TABLE  XXIII. 

Protein,  61  grams     Fat,  201  grams 
Carbohydrate,  30  grams     Calories,  2240 


Breakfast. 

Bacon 50  grams . 

Egg 1 

Tomatoes 100  grams . 

Cream. 
Butter. 
Coffee. 

Dinner. 

Steak  (raw) 100  grams. 

Salt  pork  (raw) . . .  100  grams . 

Turnips 420  grams . 

Cucumbers 100  grams . 

Onions 100  grams . 

Butter. 

Cream. 

Tea. 

Olive  oil 21  grams . 

Supper. 

Chicken  (cooked)..  50  grams. 

Lettuce 100  grams . 

Celery 100  grams . 

Spinach 100  grams. 

Butter. 

Tea. 

Cream. 

Allow  during  day: 

Butter 15  grams . 

Cream,  40% 6  ounces. 


3  slices  6  in.  long. 
2y2  h.  tbsp. 


1  slice — 4  oz. 
8  small  slices. 
6  h.  tbsp. 

16  thin  slices. 

2  medium  sized. 


1%  tbsp. 


,   1  small  slice. 
12  medium  leaves 
8  stalks  6  in.  long 
.   2  h.  tbsp. 


1%  squares. 
12  tbsp. 


44 


STAEVATION   TREATMENT 


TABLE  XXIV. 

Protein,  63  grams     Fat,  209  grams 
Carbohydrate,  31  grams     Calories,  2325 

Breakfast. 

Bacon 50  grams ...    5  slices. 

Peas 75  grams . . .   1%  h.  tbsp. 

Butter. 
Cream. 
Coffee. 

Dinner. 

Broth — 100  c.c.  with  vegetables : 

Cabbage 25  grams ...   1  h.  teasp. 

Tomato 25  grams. . .   1  h.  teasp. 

Turnip 25  grams.  . .   1  h.  teasp. 

Celery 50  grams. . .  2  h.  teasp. 

Steak 100  grams ...   1  slice. 

Squash 50  grams ...    1  h.  tbsp. 

Tomato 75  grams. . .   1%  h-  tbsp. 

Butter. 
Cream. 
Tea. 


Supper. 

Chicken 75  grams.  . 

Turnips 175  grams.  . 

Celery 100  grams . . 

Olive  oil 21  grams .  . 

Salt  pork 50  grams . . 

Allow  during  day: 

Butter 50  grams.  . 

Cream,  40% 5  ounces. . 

Olive  oil 21  grams . . 


1  slice. 

iy2  h.  tbsp. 

8  stalks  6  in.  long. 

iy2  tbsp. 

3  slices. 


5  squares. 
10  tbsp. 
iy2  tbsp. 


OF  DIABETES 


45 


TABLE  XXV. 

Protein,  61  grams    Fat,  201  grams 
Carbohydrate,  30  grams     Calories,  2245 

Breakfast. 

Bacon 50  grams ...  3  slices  6  in.  long. 

Vgg. . 1 

Turnips 140  grams ...   3  h.  tbsp. 

Butter. 
Cream. 
Coffee. 


Dinner. 

Steak 100  grams . 

Celery 100  grams . 

Cucumbers 100  grams . 

Lettuce 100  grams . 

Spinach 100  grams. 

Olive  oil 21  grams . 

Butter. 
Cream. 
Tea. 


.   1  slice. 

.   8  slices  6  in.  long. 

.16  thin  slices. 

.12  leaves. 

.   2  h.  tbsp. 

.   iy2  tbsp. 


Supper. 

Chicken 50  grams. . 

Salt  pork 100  grams . . 

Turnips 280  grams . . 

Onions 100  grams. . 

Tomatoes 100  grams . . 

Butter. 
Cream.  > 
Tea. 


1  small  slice. 

6  slices  6  in.  long. 
4  h.  tbsp. 

2  h.  tbsp. 
2  h.  tbsp. 


Allow  during  day: 

Butter 50  grams. . .  5  squares. 

Cream,  40% 5  ounces. .  .10  tbsp. 


46 


STAKVATION   TKEATMENT 


TABLE  XXVI. 

Protein,  61  grams     Fat,  199  grams 
Carbohydrate,  31  grams     Calories,  2230 

Breakfast. 

Bacon 60  grams . . .  Sy2  slices, 

6  in.  long. 

Eggs 2 

Turnips 140  grams ...  2  h.  tbsp. 

Dinner. 

Steak 100  grams ...   1  slice. 

Spinach 50  grams. . .   1  h.  tbsp. 

Parsnips 150  grams ...   6  slices. 

Onions 100  grams. . .  2  h.  tbsp. 

Beets 50  grams ...   1  h.  tbsp. 

Butter. 
Cream. 
Tea. 


Supper. 

Ham 50  grams ...   1  small  slice. 

Lettuce 100  grams ...  12  leaves. 

String  beans 50  grams ...   1  h.  tbsp. 

Celery 100  grams. . .  8  stalks  6  in.  long. 

Asparagus 50  grams ...   1  h.  tbsp. 

Allow  during  day: 

Butter 40  grams. . .  4  squares. 

Cream,  40% 8  ounces..  .16  tbsp. 


OF  DIABETES 


47 


TABLE  XXVII. 

Protein,  43  grams     Fat,  201  grams 
Carbohydrate,  36  grams     Calories,  2190 


Breakfast. 

Bacon 50  grams . . 

Parsnips 100  grams . . 

Potatoes  (mashed) 

Butter. 
Cream. 
Coffee. 

Dinner. 

Broth 180  c.c 

Squab 100  grams . . 

Cabbage 100  grams . . 

Celery 100  grams . . 

Butter. 
Cream. 
Tea. 


3  slices. 

4  slices. 

1  h.  tbsp. 


1  glass. 

1  squab. 

3  h.  tbsp. 

8  stalks  6  in.  long. 


Supper. 

Salt  pork 50  grams. 

String  beans 100  grams. 

Cucumbers. ......  100  grams . 

Oil 5  grams . 

Parsnips 100  grams . 

Cauliflower 120  grams . 

Milk 120  c.c 

Butter. 
Cream. 
Tea. 

Allow  during  day: 

Butter 50  grams . 

Cream,  40% 7  ounces. 


.   3  slices. 

.  2  h.  tbsp. 

.16  slices,  thin. 

.   1  teasp. 

.   4  slices. 

.   2  h.  tbsp. 

y2  glass. 


,   5  squares. 
14  tbsp. 


48 


STARVATION   TREATMENT 


TABLE  XXVIII. 

Protein,  50  grams    Fat,  200  grams 
Carbohydrate,  40  grams     Calories,  2253 

Breakfast. 

Bacon 50  grams ...   3  slices. 

Egg 1 

Parsnips 100  grams ...   4  slices. 

Bread 35  grams ...   1  slice, 

Butter.  3x3%x%  in. 

Cream. 

Coffee. 

Dinner. 

Broth 180  c.c 1  glass  or  cup. 

Chop 100  grams ...   1 

Cauliflower 120  grams. . .  2  h.  tbsp. 

Carrots 100  grams ...   2  h.  tbsp. 

Butter. 
Cream. 
Tea. 

Supper. 

Lettuce 25  grams...  3  leaves. 

String  beans 100  grams ...   2  h.  tbsp. 

Peas 55  grams.  . .   1  h.  tbsp. 

Butter. 
Cream. 
Tea. 

Allow  during  day: 

Butter 50  grams ...  5  squares. 

Cream,  40% 7  ounces..  .14  tbsp. 


OF  DIABETES 


49 


TABLE  XXIX. 

Protein,  50  grams    Fat,  194  grams 
Carbohydrate,  48  grams     Calories,  2201 

Breakfast. 

Orange 100  grams ...   1  small. 

Eggs 2 

Bacon 50  grams. . .   3  slices,  6  in.  long. 

Bread 10  grams. . .  1  slice,  2xlx%  in. 

Butter. 
Cream. 
Coffee. 


Dinner. 

Steak 100  grams . 

Lettuce 100  grams . 

Spinach 100  grams . 

Butter. 
Cream. 
Tea. 


1  slice. 
12  leaves. 

2  h.  tbsp. 


Supper. 

Cold  ham 50  grams . 

Asparagus.. 50  grams . 

Strings  beans ....  100  grams . 

Bread 25  grams . 

Butter. 
Cream. 
Tea. 


1  small  slice. 

1  h.  tbsp. 

2  h.  tbsp. 

1  slice,  3x3x%  in. 


Allow  during  day: 

Butter 40  grams.  . .   4  squares. 

Cream,  40% 8  ounces. . .  16  tbsp. 


50 


STARVATION   TREATMENT 


TABLE  XXX. 

Protein,  53  grams    Fat,  169  grams 
Carbohydrate,  54  grams     Calories,  2020 

Breakfast. 

Orange 100  grams ...   1  small. 

Bacon 50  grams ...   3  slices  6  in.  long. 

Egg 1 

Bread 20  grams. . .   1  slice,  3x2x1/2  in. 

Butter. 
Cream. 
Coffee. 

Dinner. 

Boiled  ham 100  grams ...   1  large  slice. 

Brussels  sprouts. .  100  grams ...   3  h.  tbsp. 

Milk 6  ounces. . .   1  glass. 

Butter. 

Tea. 

Cream. 

Supper. 

Scotch  broth 6  ounces. . .   1  glass. 

Lettuce 50  grams ...   6  leaves. 

Bread 20  grams. . .   1  slice,  Sx2xy2  in. 

Allow  during  day: 

Butter 70  grams ...   7  squares. 

Cream,  40% 4  ounces.. .  8  tbsp. 


OF  DIABETES  51 


TABLE  XXXI. 

Protein,  52  grams    Fat,  190  grams 
Carbohydrate,  50  grams    Calories,  2190 

Breakfast. 

Orange 100  grams ...   1  small. 

Bread 25  grams ...   1  slice,  3x2x%  in. 

Egg 1 

Bacon 50  grams ...   3  slices  6  in.  long. 

Butter. 
Cream. 
Coffee. 

Dinner. 

Chop 100  grams ...   1  medium  chop. 

Asparagus 100  grams ...   2  h.  tbsp. 

Butter. 
Cream. 
Tea. 

Supper. 

Egg 1 

Cucumbers 100  grams. .  .16  slices  (thin). 

Lettuce 10  grams. . .   3  leaves  (small). 

Bread 25  grams ...   1  slice,  3x2x%  in. 

Allow  during  day: 

Butter 50  grams ...  5  squares. 

Cream,  40% 8  ounces..  .16  tbsp. 


52 


STAKVATION   TEEATMENT 


TABLE  XXXII. 

Protein,  53  grams     Fat,  190  grams 
Carbohydrate,  50  grams     Calories,  2190 

Breakfast. 

Baeon 60  grams . . .   3%  slices. 

Orange 150  grams ...   1  medium. 

Egg , 1 

Bread 20  grams ...   1  slice,  3x2x%  in. 

Butter. 
Cream. 
Tea. 


Dinner. 

Steak 

String  beans... 

Lettuce 

Butter. 
Cream. 
Tea. 


50  grams ...   1  small  slice. 
.  50  grams ...   1  h.  tbsp. 
100  grams ...  12  leaves. 


Supper. 

Ham 50  grams . . 

Asparagus 50  grams . . 

Spinach 50  grams . . 

Bread 15  grams . . 

Butter. 
Cream. 
Tea. 


1  small  slice. 

1  h.  tbsp. 

1  h.  tbsp. 

1  slice,  3xlx%  in. 


Allow  during  day : 

Butter 40  grams. . .  4  squares. 

Cream,  40% 8  ounces.  -  .16  tbsp. 


OF  DIABETES  53 


TABLE  XXXIII. 

Protein,  101  grams     Fat,  232  grains 
Carbohydrate,  51  grams     Calories,  2780 

Breakfast. 

Orange 50  grams . . .  %  orange. 

Steak 100  grams. . .   1  slice. 

Egg 1 

Bread 20  grams ...   1  slice,  3x2x%  in. 

Butter. 
Cream. 
Tea. 

Dinner. 

Lamb  chop 180  grams. . .  2  small. 

Potato 50  grams ...  1  small. 

Turnip 140  grams ...  2  h.  tbsp. 

Lettuce 10  grams. . .  2  leaves. 

Tomato  (raw).. ..100  grams...  1  medium. 
Custard — made  with  one  egg  and  part  of  the  cream. 
Butter. 
Tea. 

Supper. 

Bacon 50  grams ...   3  slices  6  in.  long. 

Eggs 2 

Onions 50  grams. . .   1  h.  tbsp. 

Cabbage 100  grams ...  3  h.  tbsp. 

Bread 20  grams ...  1  slice,  3x2x%  in. 

Butter. 
Cream. 
Tea. 

Allow  during  day: 

Butter 50  grams ...   5  squares. 

Cream,  40% 6  ounces..  .12  tbsp. 


54 


STARVATION   TREATMENT 


TABLE  XXXIV. 

Protein,  60  grams    Fat,  200  grams 
Carbohydrate,  55  grams     Calories,  2380 

Breakfast. 

Orange 100  grams ...   1  small. 

Bacon 100  grams. . .   6  slices  6  in.  long. 

Egg 1 

Spinach 100  grams. . .  2  h.  tbsp. 

Bread 25  grams ...   1  slice,  3x2x%  in. 

Butter. 
Cream. 
Coffee. 


Dinner. 

Broth 180  c.c 

Steak 100  grams . . 

Parsnips 100  grams . . 

Carrots 100  grams .  . 

Butter. 
Cream. 
Tea. 


1  glass. 

1  slice. 

4  slices,  2  h.  tbsp. 

2  h.  tbsp. 


Supper. 

Egg 1 

Lettuce 25  grams . 

String  beans 100  grams 

Bread 25  grams 

Butter. 
Cream. 
Tea. 


3  leaves. 

2  h.  tbsp. 

1  slice,  3x2xy2  in. 


Allow  during  day: 

Butter 50  grams ...   5  squares. 

Cream,  40% 7  ounces..  .14  tbsp. 


OF  DIABETES 


55 


TABLE  XXXV. 

Protein,  60  grams    Fat,  207  grams 
Carbohydrate,  54  grams     Calories,  2400 

Breakfast. 

~®gg !  „    ■ 

Bacon 100  grams. . .   6  slices. 

Tomatoes 100  grams. . .  2  h.  tbsp. 

Bread 35  grams. . .   1  slice,  3x3xy2  in. 

Butter. 

Cream. 

Tea. 


Dinner. 

Broth 180  c.c 

Squab 100  grams 

Cabbage 100  grams. 

Onions 100  grams 

Butter. 
Cream. 
Tea. 


glass. 

1  squab. 
3  h.  tbsp. 

2  h.  tbsp. 


Supper. 

Egg 1 

Lettuce 25  grams. . .  3  leaves. 

Celery 100  grams. . .  8  stalks  6  in.  long. 

Bread 30  grams. . .  1  slice,  3x3x%  in. 

Allow  during  day: 

Butter 50  grams ...   5  squares. 

Cream,  40% 7  ounces. .  .14  tbsp. 


56 


STARVATION   TREATMENT 


TABLE  XXXVI. 

Protein,  63  grams     Fat,  210  grams 
Carbohydrate,  61  grams     Calories,  2460 

Breakfast. 

Grape  fruit 100  grams ...  %  grape  fruit. 

Bacon 100  grams ...   6  slices  6  in.  long. 

Kgg. 1 

Cauliflower 120  grams.  .  .2  h.  tbsp. 

Bread 30  grams ...   1  slice,  3x3x1/2  in- 

Butter. 
Cream. 
Coffee. 


Dinner. 

Broth 180  c.c 

Squab 100  grams . 

Carrots 100  grams . 

Lettuce 100  grams . 

Butter. 
Cream. 
Tea. 


1  glass. 

1  squab. 

2  h.  tbsp. 
12  leaves. 


Supper. 

Egg 1 

Asparagus 100  grams. . 

Spinach 100  grams . . 

Bread 30  grams . . 

Butter. 
Cream. 
Tea. 


2  h.  tbsp. 
2  h.  tbsp. 
1  slice,  3x3x^/2  in. 


Allow  during  day: 

Butter 50  grams ...   5  squares. 

Cream,  40% 7  ounces..  .14  tbsp. 


OF  DIABETES 


57 


TABLE  XXXVII. 

Protein,  60  grams     Fat,  200  grams 
Carbohydrate,  62  grams     Calories,  2380 

BREAKFAST; 

Orange 100  grams ...   1 

Bacon 100  grams. . .   6  slices  6  in.  long. 

Egg ,.     1 

Bread 35  grams ...  1  slice,  3x3x%  in. 

Butter. 
Cream. 
Tea. 


Dinner. 

Broth 180  c.c 

Steak 100  grams . 

Turnips 140  grams . 

Parsnips 200  grams . 

String  beans 100  grams. 

Butter. 
Cream. 
Tea. 


1  glass. 

1  slice. 

2  h.  tbsp. 

8  slices,  4  h.  tbsp 
2  h.  tbsp. 


Supper. 

Egg 1 

Lettuce 25  grams . 

Cucumbers 100  grams . 

Bread 30  grams . 

Butter. 
Cream. 
Tea. 

Allow  during  day: 

Butter 50  grams . 

Cream,  40% 7  ounces. 


3  leaves. 
16  slices  (thin). 
,   1  slice,  3x3x1/2  in. 


5  squares. 
14  tbsp. 


58 


STAEVATION   TEEATMENT 


TABLE  XXXVIII. 

Protein,  74  grams     Fat,  200  grams 
Carbohydrate,  62  grams     Calories,  2420 

Breakfast. 

Bacon 100  grams. . .   6  slices  6  in.  long. 

Egg 1 

Bread 30  grams ...   1  slice,  3x3x%  in. 

Butter. 
Cream. 
Tea. 


Dinner. 

Broth 180  c.c 1  glass. 

Chicken 100  grams. . .   1  slice. 

Baked  potato 100  grams...   1  medium. 

Tomato 100  grams. . .   2  h.  tbsp. 

Lettuce 25  grams ...   3  leaves. 

Olive  oil 13  grams. . .   1  tbsp. 

Butter. 
Cream. 
Tea. 


Supper. 

Vgg 1 

Cabbage 100  grams . . 

Celery 100  grams . . 

Onions 100  grams. . 

Butter. 
Cream. 
Tea. 

Allow  during  day: 

Butter 50  grams . . 

Cream,  40% 7  ounces. . 


3  h.  tbsp. 

8  slices  6  in.  long. 

2  h.  tbsp. 


5  squares. 
14  tbsp. 


OF  DIABETES 


59 


TABLE  XXXIX. 

Protein,  71  grams     Fat,  205  grams 
Carbohydrate,  60  grams     Calories,  2440 

Breakfast.* 

Bacon 100  grams ...   6  slices  6  in.  long. 

Egg ; 1 

Asparagus 100  grams ...   2  h.  tbsp. 

Bread 25  grams ...   1  slice,  3x2x%  in. 

Butter. 
Cream. 
Coffee. 


Dinner. 

Broth 180  c.c 1  glass. 

Steak 100  grams ...   1  slice. 

Spinach 100  grams. . .  2  h.  tbsp. 

Carrots 100  grams.  . .  2  h.  tbsp. 

Butter. 
Cream. 
Tea. 


Supper. 

Egg 1 

Lettuce 100  grams . 

Lima  beans 100  grams . 

Cauliflower 120  grams. 

Beef  juice 4  ounces . 

Bread 25  grams . 

Butter. 
Cream. 
Tea. 


12  leaves. 

2  h.  tbsp. 

2  h.  tbsp. 
,   8  tbsp. 

1  slice,  3x3x1^  in. 


Allow  during  day: 

Butter 50  grams ...   5  squares. 

Cream,  40% 7  ounces..  .14  tbsp. 


60 


STAKVATION   TEEATMENT 


TABLE  XL. 

Protein,  72  grams     Fat,  208  grams 
Carbohydrate,  65  grams     Calories,  2490 

Breakfast. 

Bacon 100  grams ...   6  slices  6  in.  long. 

Eggs 2 

Bread 25  grams ...   1  slice,  3x2x1/2  in. 

Butter. 
Cream. 
Coffee. 

Dinner. 

Broth 180  c.c 1  glass. 

Squab 100  grams.  . .   1 

Lettuce 25  grams ...   3  leaves. 

Cucumbers 100  grams ...  16  thin  slices. 

Turnips 140  grams ...   2  h.  tbsp. 

Strawberries 100  grams. . .   2  h.  tbsp. 

Bread 25  grams ...   1  slice,  3x2x%  in. 

Butter. 
Cream. 
Tea. 


Supper. 

Fish  (Haddock) .  .   50  grams. . 

String  beans 100  grams . . 

Parsnips 200  grams . . 

Bread 25  grams . . 

Butter. 
Cream. 
Tea. 


1  small  helping. 

2  h.  tbsp. 
8  slices. 

1  slice,  3x2x1/2  in. 


Allow  during  day: 

Butter 50  grams ...   5  squares. 

Cream,  40%. ....     7  ounces..  .14  tbsp. 


OF  DIABETES 


61 


TABLE  XLI. 

Protein,  71  grams     Fat,  204  grams 
Carbohydrate,  65  grams     Calories,  2455 


Breakfast.  * 

Bacon 100  grams . 

Egg 1 

Bread 20  grams . 

Carrots 100  grams . 

Butter. 
Cream. 
Coffee. 


.   6  slices  6  in.  long. 

.   1  slice,  3x2x3/2  in. 
.   2  h.  tbsp. 


Dinner. 

Broth 180  c.c 1  glass. 

Roast  lamb 100  grams ...   1  slice. 

Baked  potato 100  grams.  . .   1  medium. 

Lettuce 100  grams ...  12  leaves. 

Asparagus 100  grams. . .   2  h.  tbsp. 

Butter. 

Cream.  > 

Tea. 


Supper. 

Eggs 2 

Cauliflower 120  grams. . 

Spinach 100  grams . . 

Bread 20  grams . . 

Butter. 
Cream. 
Tea. 


Allow  during  day: 

Butter 50 

Cream,  40% 7 


grams . 
ounces. 


2  h.  tbsp. 
2  h.  tbsp. 
1  slice,  3x2x3/2  in. 


.   5  squares. 
14  tbsp. 


62 


STAKVATION   TKEATMENT 


TABLE  XLII. 

Protein,  77  grams     Fat,  200  grams 
Carbohydrate,  68  grams     Calories,  2453 


Breakfast. 

Bacon 100  grams . 

Eggs 2 

Tomatoes 100  grams . 

Butter. 
Cream. 
Tea. 


6  slices  6  in.  long. 

6  slices  or  1  medi- 
um tomato. 


Dinner. 

Broth 6  ounces. 

Haddock 100  grams . 

Cabbage 100  grams . 

Onions 100  grams . 

Baked  potato 100  grams. 

Butter. 
Cream. 
Tea. 

Supper. 

Cold  boiled  ham..  75  grams. 

Bread 25  grams . 

Peas 100  grams . 

Lettuce 25  grams . 

Celery 100  grams . 

Butter. 
Tea. 


. .   1  glass. 

1  medium  helping. 
3  h.  tbsp. 

2  h.  tbsp. 
1  medium 


1  slice,  large. 

1  slice,  3x2x%  in. 

2  h.  tbsp. 

3  leaves. 

8  stalks  6  in.  long. 


Allow  during  day: 

Butter 

Cream,  40% 


50  grams. 
7  ounces. 


5  squares. 
14  tbsp. 


OF  DIABETES 


63 


TABLE   XLIII. 

Protein,  77  grams     Fat,  203  grams 
Carbohydrate,  69  grams     Calories  2486 

Breakfast. 

Bacon 100  grams ...   6  slices  6  in.  long. 

Eggs 2 

Bread 50  grams ...   2  slices, 

3x2xy2  in. 

Butter. 
Cream. 
Coffee. 


Dinner. 

Broth 6  ounces. 

Steak 100  grams. 

Turnips 140  grams . 

Lettuce 25  grams . 

Bread 25  grams . 

Cream. 
Tea.      ' 


1  glass. 

1  slice. 

2  h.  tbsp. 

3  leaves. 

1  slice,  3x2x1/2  in. 


Supper. 

Cold  veal 50  grams . 

Parsnips 200  grams . 

String  beans 100  grams. 

Cucumbers 100  grams . 

Bread 25  grams . 

Cream. 
Tea. 


.   1  small  slice. 

.   8  slices. 

.   2  h.  tbsp. 

.16  slices  (thin). 

.   1  slice,  3x2x1/2  in. 


Allow  during  day:     ■ 

Butter 50  grams ...   5  squares. 

Cream,  40% 7  ounces. .  .14  tbsp. 


64 


STARVATION   TREATMENT 


TABLE   XLIV. 

Protein,  74  grams     Fat,  201  grams 
Carbohydrate,  71  grams     Calories,  2458 

Breakfast. 

Egg 1 

Bacon 100  grams ...   6  slices  6  in.  long. 

Parsnips 100  grams. . .   4  slices,  2  h.  tbsp. 

Butter. 
Cream. 
Coffee. 

Dinner. 

Broth 6  ounces. . .  1  glass. 

Chicken 100  grams ...  1  slice. 

Squash 50  grams ...  1  h.tbsp. 

Turnips 140  grams ...  2  h.  tbsp. 

String  beans 100  grams ...  2  h.  tbsp. 

Baked  potato 100  grams...  1  medium. 

Butter. 
Cream. 
Tea. 

Supper. 

Egg 1 

Parsnips 100  grams ...   4  slices,  2  h.  tbsp. 

Lettuce 25  grams ...   3  leaves. 

Cucumbers 100  grams.  .  .16  slices  (thin). 

Bread 40  grams ...   1  slice, 

3x3y2xi/2  in. 

Olive  oil 13  grams ...  2  teasp 

Butter. 
Cream. 
Tea. 

Allow  during  day: 

Butter 50  grams ...   5  squares. 

Cream,  40% 7  ounces..  .14  tbsp. 


OF  DIABETES 


65 


TABLE  XLV. 

Protein,  75  grams     Fat,  205  grams 
Carbohydrate,  71  grams     Calories,  2496 


Breakfast. 

Bacon 100  grams . . 

Egg 1 

Asparagus 100  grams. . 

Potato  (boiled)...  50  grams.. 

Butter. 

Cream. 

Tea. 


.   6  slices  6  in.  long. 

.   2  h.  tbsp. 
.   1  very  small. 


Dinner. 

Steak 100  grams ...   1  slice. 

Potato  (boiled)..  .100  grams.  . .   1  medium. 

Spinach 100  grams.  . .   2  h.  tbsp. 

Cauliflower 120  grams.  . .   2  h.  tbsp. 

Butter. 
Cream. 
Tea. 


Supper. 

Egg 1 

Cottage  cheese....   50  grams. 

Lettuce 100  grams . 

Carrots 100  grams . 

Bread 35  grams . 

Butter. 
Cream. 
Tea. 

Allow  during  day: 

Butter 50  grams . 

Cream,  40% 7  ounces. 


li/2xli/2xli/2  in. 
12  leaves. 
2  h.  tbsp. 
1  slice,  3x3x1/2  in> 


5  squares. 
14  tbsp. 


66 


STAKVATION   TREATMENT 


TABLE   XL VI. 

Protein,  99  grams     Fat,  305  grams 
Carbohydrates,  101  grams     Calories,  3660 

Breakfast. 

Oranges 200  grams ...   2  small. 

Bacon 75  grams ...   5  slices. 

Eggs 2 

Bread 35  grams ...   1  slice, 

Butter.  3x3y2xy2  in. 

Cream. 

Coffee. 


Dinner. 

Lamb     chop 100  grams . 

Peas 100  grams . 

Olives 50  grams. 

Almonds •  •  •  •   50  grams . 

Bread 25  grams . 

Butter. 
Cream. 
Tea. 

Supper. 

Salmon 100  grams. 

Salad : 

Lettuce 25  grams . 

Fresh  tomato .  .  100  grams . 
Mayonnaise.....  21  grams. 
American  cheese  25  grams . 
Bread 40  grams . 

Allow  during  day: 

Butter 50  grams . 

Cream,  40% 10  ounces. 


1  chop. 

2  h.  tbsp. 

.13  small  olives. 
26  small  almonds. 
,   1  slice,  3x3x1/2  in. 


1  average. 

helping. 

3  leaves. 

1  medium. 
,   1  tbsp. 
.   11/2x1x1  in. 
.   1  slice, 

3x31/2x1/2  in. 

5  squares. 
20  tbsp. 


OF    DIABETES 


67 


TABLE  XLVII. 

Protein,  101  grams     Fat,  225  grams 
Carbohydrate,  101  grams     Calories,  2919 

Breakfast. 

Grape  fruit 100  grams . . .  y2  medium. 

Eggs 2 

Bread 50  grams ...   2  slices, 

3x2x1/9  in. 
Butter. 
Cream. 
Coffee. 

Dinner. 

Chops 200  grams ...   2  medium. 

Potato 75  grams ...   1  medium  or  1% 

tbsp.  of  mashed. 

Lettuce 50  grams ...   6  leaves. 

Bread 25  grams ...   1  slice,  3x2x%  in. 

Walnuts 25  grams ...   5  whole  walnut 

meats. 
French  dressing 

Oil 16  grams  )      0  , , 

Vinegar  J  ■  2  tbsP' 

Supper. 

Cold  chicken 50  grams. . .   1  small  slice. 

Egg 1 

Bread 25  grams ...   1  slice,  3x2x%  in. 

Celery 50  grams ...   6  stalks  6  in.  long. 

Peach 100  grams ...   1  peach. 

Butter. 
Cream. 
Tea. 

Allow  during  day: 

Butter 50  grams ...   5  squares. 

Cream,  40% 6  ounces..  .12  tbsp. 


68  STAKVATION   TKEATMENT 

TABLE  XLVIII. 

Protein,  99  grams     Fat,  228  grams 
Carbohydrate,  126  grams     Calories,  3043 

Breakfast. 

Lamb  chop 100  grams.  . .   1  chop. 

Eggs 2 

Bread 50  grams ...   2  slices, 

Butter.  3x2x%  in. 

Cream. 

Coffee. 

Dinner. 

Steak 100  grams.  .  .   1  slice. 

Potato 200  grams ...   2  small  ones. 

Cabbage 100  grams. . .   3  h.  tbsp. 

Bread 25  grams ...   1  slice,  3x2x%  in. 

Butter. 
Tea. 

Custard  or  ice  cream,  using  part  of  cream,  and  one- 
half  egg  (extra). 

Supper. 

Bacon. 100  grams.  .  .    6  slices. 

Egg 1 

Peas 100  grams ...   2  h.  tbsp. 

Beets 100  grams ...   2  h.  tbsp. 

Peach  (as 

purchased) 100  grams...   1  peach. 

Bread 25  grams ...   1  slice,  3x2x%  in- 

Butter. 
Cream. 
Tea. 

Allow  during  day: 

Butter 50  grams ...   5  squares. 

Cream,  40% 6  ounces..  .12  tbsp. 


OF    DIABETES 


69 


TABLE  XLIX. 

Protein,  101  grams     Fat,  292  grams 
Carbohydrate,  150  grams     Calories,  3744 

Breakfast. 

Grape  fruit 300  grams ...   1  medium. 

Bacon 75  grams ...   5  slices. 

Eggs 2 

Bread 35  grams ...   1  slice  3x3x%  in. 

Butter. 
Cream. 
Tea. 
Sugar. 

Dinner. 

Lamb  chop 100  grams.  . .   1  medium. 

Peas 100  grams ...   2  h.  tbsp. 

Lettuce 25  grams ...   3  leaves. 

Fresh  tomato 100  grams...   1  medium. 

Mayonnaise 21  grams. . .   1  tbsp. 

Bread 25  grams ...   1  slice,  3x2x%  in. 

Butter. 
Tea. 

Supper. 

Cold  roast  beef.. .  .  100  grams ...   1  slice. 

Olives 50  grams ...  13  small  olives. 

Almonds 20  grams.  .  .26  small  almonds. 

Cream  cheese 50  grams...   I^xI^xIMj  in- 

Bread 40  grams ...   1  slice, 

Butter.  3x3i/2xy2  in. 

Cream. 

Tea. 

Allow  during  day:         . 

Butter 50  grams ...   5  squares. 

Cream,  40% 5  ounces. .  .10  tbsp. 

Sugar 40  grams. . .   4  h.  teasp. 

Dr.  Edwin  A.  Locke's  book  of  food  values  has  been 
of  much  value  in  making  up  these  diets. 


70         STARVATION   TREATMENT 


The  following  food  values  are  taken  from  Locke's 
Abstract  of  Atwater  and  Bryant's  Bulletin  No.  28, 
1906,  United  States  Department  of  Agriculture. 

Fractions  of  per  cents,  have  been  left  off  in  order 
to  make  the  use  of  the  table  more  simple,  and  the 
values  given  will  be  found  quite  accurate  enough  for 
clinical  purposes. 

Food  Stuffs.  Quantity. 

Raw. 

Meat. 

Beef 100  gm. 

Chicken " 

Bacon " 

Fish. 

Fish  (average) " 

Oysters 


i  c 


c  c 

t  i 

i  i 


Eggs. 

Eggs " 

Eggs legg 

Dairy  Products. 

Butter 100  gm. 

Cheese  (American).. 
Cheese  (Neufchatel) 

Milk  (whole) 

Milk  (whole) 1  qt. 

Milk  (skim) 100  gm. 

Milk  (skim) 1  qt. 

Cream  (gravity).. .  .lOOgrn. 
Cream  (gravity) 1  pt. 

Cereal  Products. 
Oatmeal  (cooked)..  .100  gm. 
Rice  (cooked) " 


Protein. 
Grams. 

Fat. 
Grams. 

Carbo- 
hydrate. 
Grams. 

Total 
Calo- 
ries. 

22 

28 

357 

32 

4 

2 

181 

10 

64 

646 

20 

4 

1 

105 

6 

1 

4 

52 

13 

10 

159 

7 

5 

72 

1 

85 

795 

28 

35 

2 

453 

19 

27 

2 

337 

3 

4 

5 

72 

34 

38 

43 

670 

3 

0.3 

5 

37 

35 

10 

43 

400 

3 

16 

5 

180 

14 

77 

22 

860 

3 

0.5 

12 

63 

3 

0.1 

24 

112 

OF    DIABETES 


71 


Food  Stuffs. 
Raw. 


Quantity.     Protein. 
Grams. 


Macaroni  (cooked)..   " 

Bread " 

Soda  crackers " 

Cake  (average) " 


3 
9 

10 
6 


Carbo-       Total 

Fat.     hydrate.      Calo- 

Grams.    Grams.        ries. 


16 
53 
73 
63 


91 
268 
424 
369 


Vegetables. 

Asparagus 100  gm.        2 

Beans  (dried) "  22 

Beans  (string) "  2 

Beets "  2 

Cabbage "  2 

Carrots "  1 

Cauliflower ' '  2 

Celery ' '  1 

Corn  (green) "  3 

Cucumbers "  0.8 

Lettuce "  1 

Mushrooms "  3 

Onions "  1 

Peas  (dried) ... "  24 

Peas  (green) "  7 

Potatoes  (white).. . .   "  2 

Potatoes  ( sweet) . . . .   "  2 

Spinach "  2 

Squash "  1 

Tomatoes "  0.9 

Turnips ..."  1 

The  values  for  all  the  vegetables  are 
the  raw  vegetables. 


2 
2 

0.3 

0.1 

0.3 

0.4 

0.5 

0.1 

1 

0.2 

0.3 

0.4 

0.3 

1 

0.5 

0.1 

0.7 

0.3 

0.5 

0.4 

0.2 


3 

59 

7 

7 

6 

9 

5 

3 

20 

3 

3 

7 

10 

62 

16 

18 

27 

3 

9 

4 

8 


21 

354 

40 

41 

32 

46 

31 

19 

104 

18 

20 

46 

49 

365 

102 

85 

126 

24 

47 

23 

41 


calculated  from 


Fruits. 

Apples 100  gm. 

Bananas " 

Blackberries " 

Cherries " 


0.4 
1 
1 
0.1 


0.5  14 

0.6  22 

1  11 

1  15 


64 

101 

15 

76 


72 


STARVATION   TREATMENT 


Carbo- 

Total 

Food  Staffs. 

Quantity.     Protein. 

Fat. 

hydrate. 

Calo- 

Raw. 

Ghams. 

Grams. 

Grams. 

ries. 

..   "                 0.4 

0.6 

10 

47 

Currants 

..   "                 1 

13 

58 

Figs  (dried) 

..   "                 4 

0.3 

74 

325 

Grapes 

..   "                 1 

1 

14 

74 

Huckleberries. . . . 

..   "                0.6 

0.6 

16 

76 

Lemon  juice 

10 

40 

Muskmelons 

..   "                0.6 

9 

41 

..  "               0.8 

0.2 

11 

53 

Peaches 

..   "                0.7 

0.1 

9 

42 

Pears 

..   "                0.6 

0.5 

14 

65 

Prunes  (dried)... 

..   "                2 

73 

309 

Raisins  (dried). . 

..   "                2 

3 

76 

354 

Pineapples 

..   "                 0.4 

0.3 

10 

44 

..   "                 1 

20 

87 

Raspberries 

..   "                 1 

12 

56 

..   "                    1 

0.6 

7 

40 

0.4 

0.2 

7 

31 

Nuts. 

. .  100  gm.      21 

54 

17 

668 

Chestnuts 

..   "                 6 

5 

42 

246 

.  .   "               25 

38 

24 

564 

Walnuts 

. .   "               18 

64 

13 

728 

Miscellaneous. 

Chocolate 100  gm. 

Whiskey 50  c.c. 

Lager  beer 250  c.c. 


13  48  30  631 
43%  alcohol  152 
4.5%  alcohol  130 


COLUMBIA  UNIVERSITY  LIBRARY 

This  book  is  due  on  the  date  indicated  below,  or  at  the 
expiration  of  a  definite  period  after  the  date  ~  "      ?tpt.-;    r. 
as  provided  by  the  rules  of  the  Libr^-  -■ 
rangement  with  the  Li^" 


DATE  DUE 


"WKW 


T    ^   'V^V-- 


•j|PP    *  ft 


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i  - 


INTING 


DEMCO  38-296 


a.  I 


0041077687 


